NPI | 1801194527 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH GILL Administrator 708-756-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
207Q00000X Family Medicine | |
2083X0100X Preventive Medicine, Occupational Medicine | |
Enumeration Date | 2011-03-03 |
Last Update Date | 2011-09-27 |