| NPI | 1740201060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA BANEGAS President 773-767-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036056450) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |