NPI | 1053494062 |
---|---|
Entity Type | Organization |
Authorized Contact | HARVEY M WOLF President 847-259-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060006276) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-08-22 |