| NPI | 1730051194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHAH YANSSANEH Owner/Authorized Official 312-774-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2026-02-12 |