| NPI | 1841527082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. FAJARDO President 312-922-6071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 36-39990) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |