| NPI | 1760416762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE R GAVINO President 847-695-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 060000735) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-11-30 |