| NPI | 1720383086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENZIE KITCHAROEN President/Owner 847-834-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 042619705) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2021-05-29 |