| NPI | 1720522022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HOWARD Provider 773-503-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036123850) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |