| NPI | 1437288735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA L. GILYOT-MONTGOMERY President 773-750-3819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005816) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2020-08-22 |