| NPI | 1962427856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY NIGAM President 618-288-5019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036107024) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-08-18 |