| NPI | 1033735550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN FOTI MCCLANAHAN Clinical Psychologist 312-337-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2025-10-16 |