| NPI | 1003347949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW R. FARRA President 847-859-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007609) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-10-06 |