| 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 |