NPI | 1932224946 |
---|---|
Entity Type | Organization |
Authorized Contact | GRAZYNA PIEKOS Owner 815-730-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 03609242IL) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2007-03-20 |
Last Update Date | 2008-10-03 |