| NPI | 1942973078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HNATIW Credentialing Supervisor 630-927-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |