| NPI | 1942190996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH BRANDES Administrative Manager 847-853-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |