NPI | 1295024412 |
---|---|
Entity Type | Organization |
Authorized Contact | LUDA SMIKUN Clinical Director 847-404-1384 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008082) |
Enumeration Date | 2011-03-29 |
Last Update Date | 2011-03-29 |