NPI | 1962550715 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHOK K NAGELLA Owner 630-241-1495 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036105578) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |