| NPI | 1104164730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IWONA KONCZAK Psychologist/Practice Owner 847-226-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-007687) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |