| NPI | 1104068626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH S. LICHTENSTEIN President 312-944-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: IL 36055048) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |