| NPI | 1134677255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MCARDLE Owner/Clinical Psychologist 773-339-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 071008758) |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2016-09-18 |