| NPI | 1780786673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT PAUL KNOTT Doctor 773-947-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036037430) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |