| NPI | 1699179028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE REHN Md 312-640-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036121459) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |