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 |