| NPI | 1104682129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POOJA SHAH Clinical Psychologist 630-747-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |