| NPI | 1871072090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA NEE President 773-407-5876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.086662) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |