| NPI | 1063829174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA IRMGARD ALEXAKOS Owner/Practioner 773-960-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008103) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-27 |