| NPI | 1295124980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM R MOURAD Psychologist 312-283-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008016) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |