| NPI | 1912187485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H. TELINGATOR President 312-922-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036033471) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |