| NPI | 1275798308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN ESSEX Admin Asst 773-924-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 036094343) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2009-03-13 |