| NPI | 1144869173 |
|---|---|
| Doing Business As | CBG CHICAGO |
| Entity Type | Organization |
| Authorized Contact | LISA HINCKLEY BERGHORST Clinical Psychologist, Founder 773-888-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |