| NPI | 1174042147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES TUNG Clinical Psychologist 773-565-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007568) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |