| NPI | 1952551756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERYL E LIPTON Pediatric Neurologist / Executive D 847-933-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 036079515) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |