| NPI | 1336357003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARA C. JENNINGS Administrative Director 773-238-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007563) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2009-03-13 |