| NPI | 1215365564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE SOROKIN President 847-722-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008593) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |