| NPI | 1255718094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCESCO BELVISO Manager 773-234-3258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008461) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2024-10-15 |