| NPI | 1902084247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFFIE G BARNER Billing Manager 312-441-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 001800003) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |