| NPI | 1104243658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LOFTUS Licensed Clinical Psychologist 708-448-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005326) |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2014-03-22 |