| NPI | 1043590342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CHICVARA President 708-473-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008055) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |