| NPI | 1275946048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN BRIETZKE Owner 773-931-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.008376) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |