| NPI | 1245427160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MARY KINCAID Staff Psychologist 773-423-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL #071.008129) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 103T00000X Psychologist | |
| 235Z00000X Speech-Language Pathologist, | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2012-10-24 |