| NPI | 1326219510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER SWEIS Credentialing Officer 708-215-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2017-06-12 |