NPI | 1871688572 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM F PUGA President 847-776-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-05-06 |