| NPI | 1396802906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL DAVID LIBERMAN President 847-432-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060.002873) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-11-27 |