NPI | 1891439568 |
---|---|
Entity Type | Organization |
Authorized Contact | IYAD ALKHOURI Owner/Authorized Official 630-749-7107 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Enumeration Date | 2022-04-27 |
Last Update Date | 2022-04-27 |