| NPI | 1447099890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SILVERSTEIN Office Manager/Administrator 224-223-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2026-04-29 |