| NPI | 1851999783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON GOEBEL Executive Director 847-562-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2023-03-31 |