| NPI | 1770638686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJUM BASHIR Owner 217-809-0429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036105848) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-10-04 |