| NPI | 1235398546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T SMITH Authorized Official 312-942-6909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2010-07-22 |