| NPI | 1942571120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MC CORMICK Sr Vice President 708-583-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |