| NPI | 1922767573 |
|---|---|
| Other Name | ALAN ANTHONY AMBERG |
| Entity Type | Organization |
| Authorized Contact | ALAN ANTHONY AMBERG Owner 312-804-1647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |