| NPI | 1225377294 |
|---|---|
| Doing Business As | CHICAGOCBM |
| Entity Type | Organization |
| Authorized Contact | KRISTINA M PECORA Psychologist 312-569-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007823) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2016-06-30 |