| NPI | 1285973685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANE VEGA BLANCO-OILAR Owner 312-261-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071007950) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |