| NPI | 1942484522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL FAVELA Office Manager 630-261-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2024-03-05 |