| NPI | 1083929327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGOT GAY MAHAN President 312-719-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006277) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |