| NPI | 1275072332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE ANN BALL President 773-726-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009476) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |