| NPI | 1750473682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BERGER CEO 773-519-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |