| NPI | 1790012490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH DILLON Administrator 312-573-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036112044) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149010714) |
| 104100000X Social Worker (Licence: IL 149001544) | |
| 104100000X Social Worker (Licence: IL 149009420) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036118158) | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |