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 |