| NPI | 1659974053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN E ROMERO GADDI Owner/Director 773-558-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-24 |