| NPI | 1801313721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED S SIDDIQUI President 630-290-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IL 036-131386) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-131386) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2023-05-31 |