| NPI | 1205010550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH JOHN TOBIAS Clinical Psychologist 847-525-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005174) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2022-12-20 |