| NPI | 1316291909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH BOROSH Clinical Psychologist 312-848-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071007239) |
| Enumeration Date | 2012-11-04 |
| Last Update Date | 2013-07-02 |