| NPI | 1225451081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SPICHER Executive Office Manager 773-220-8904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.008214) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |