| NPI | 1013932748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD GO Doctor 773-375-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 036068501) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-02-08 |