| NPI | 1821560475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JOSEPHINE MYNATT Managing Member 847-325-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |