| NPI | 1851645964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISH VENOO Owner 312-738-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-11-29 |