| NPI | 1245499979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE A KIEFT Secretary 773-259-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006758) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071007068) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |