| NPI | 1992731491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J SICOTTE President 708-783-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 060.008081) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |