| NPI | 1699713636 |
|---|---|
| Doing Business As | UNIVERSITY PSYCHIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN FITZHORN Director Of Patient Accounts 815-395-5892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-09-10 |