| NPI | 1760294649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAWAD FITTER Managing Member 630-765-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |