| NPI | 1679605737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM AZAR Office Manager 815-229-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036079335) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2009-07-01 |