| NPI | 1326130709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DEAN BROCKMAN President 847-729-0932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: IL 042-003974) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |