| NPI | 1942697800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHOUSE MOHIUDDIN President 847-341-0389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036124315) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036124315) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |