| NPI | 1316242290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON EDWARD LAHOOD Clinical Director 312-659-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008046) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-02-01 |