| NPI | 1396771697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN DAKOTA CIMO President 773-539-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006748) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2026-01-30 |