| NPI | 1437280484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE WOODS Business Manager 773-944-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 00987) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |