| NPI | 1326161530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANNE CZUPEK Owner 708-425-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005278) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |