| NPI | 1396242350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MORIN Clinical Psychologist 312-834-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.009604) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |