| NPI | 1457420358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE N RODGERS Clinical Psychologist 773-294-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.006113) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-03-05 |