| NPI | 1770856387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD WOLF Owner 630-896-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036050670) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |