| NPI | 1245668979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE LYNN MARWIL Chief Psychologist 773-317-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 0071006182) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |