| NPI | 1790872851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VAN DUSEN VAN DUSEN President 847-296-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036103137) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2010-11-07 |