| NPI | 1194804526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH LEVINSON Clinical Psychologist 312-222-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-3208) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2012-01-31 |