| NPI | 1447472493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PHILLIP WEBER Psychologist 847-362-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: IL 071005842) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |