| NPI | 1265487060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN NEKOLNY-SMITH Clinical Coordinator 708-215-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2025-02-17 |