| NPI | 1184990160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW BRENZINGER President 847-344-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007267) |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2012-03-24 |