| NPI | 1972794733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE JOHNSON Billing Manager 630-495-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036081717) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |