| NPI | 1740209972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP S EPSTEIN Owner.President 224-676-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 3639168) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-01-22 |