| NPI | 1154352540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LYNN BELLOVICH Outpatient Psychotherapist 708-460-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 180-000945) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |