| NPI | 1952189227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLABODE OLUGA Director 847-986-8978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2025-01-24 |