| NPI | 1073840484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY M LEAVITT President 847-441-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003655) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-09 |