| NPI | 1710503982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA SHULMAN President 847-414-3847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-12-14 |