| NPI | 1851599823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIYUSH C. BUCH President 708-361-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036057502) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180004218) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149007488) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149004669) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149000613) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |