| NPI | 1700272093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOAIB MEMON Manager 708-692-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.127359) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: IL 036.127359) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |