NPI | 1235660317 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA J REZEK Licensed Clinical Psychologist 847-630-1052 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005210) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2017-03-21 |