| NPI | 1962847699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA DIANA LEWIS CEO/Owner 773-688-5092 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2020-04-13 |