| NPI | 1659782340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY GOLDSTEIN Physician 773-330-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.104658) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |