| NPI | 1457628836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN MC CARTHY, JR. Clinical Psychologist 847-475-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.003813) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2015-12-14 |