| NPI | 1073835815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN QUAY LOVE Clinical Psychologist 312-372-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-003380) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071-003380) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149-004929) | |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2010-02-21 |