| NPI | 1205042652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MCCARTHY Office Manager 224-430-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006449) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-01-16 |