| NPI | 1174821946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D. PARISI President / Managing Director 847-909-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071-005598) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042712A) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2022-11-05 |