| NPI | 1780760819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E KAEGI President 773-282-4387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036055737) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-05-01 |