| NPI | 1184981151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PAPANOS Physician 847-685-9326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 036091974) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-07-26 |