| NPI | 1336237437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S. KIRSCHENBAUM Director 312-245-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 072-003557) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-07-14 |