| NPI | 1013870401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD N SHALTAF Owner 708-981-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-03 |