| NPI | 1871529057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIVIA ERIKA HANTOS Md 847-541-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 042006099) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-06-13 |