| NPI | 1760437586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C BECK Owner 708-798-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-108787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-108787) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-05-03 |