| NPI | 1851623342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE WALT Pres 847-433-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036084112) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2015-11-17 |