| NPI | 1275705592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEENA GEORGE JACOB President 847-912-8958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006551) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |