| NPI | 1760852255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH R FLORENCE Psychiatrist 773-609-3691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036131999) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |