| 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 |