| NPI | 1265671044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL LYNN CARBONE Managing Member/ Psychologist 312-291-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007603) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2015-02-17 |