NPI | 1134458466 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENDA CUNNINGHAM Chief Executive Officer 312-521-3336 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071002911) |
Enumeration Date | 2009-12-16 |
Last Update Date | 2009-12-16 |