| NPI | 1679672216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY IBRAHIM Sole Proprietor 630-789-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 042617222) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |