| NPI | 1659605301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUPAMA SIVAKUMAR Provider/Owner 630-241-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036112020) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |