| NPI | 1457773418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KOHLER Clinical Director 773-573-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008692) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 071008692) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071008692) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071008692) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071008692) | |
| 103TF0000X Psychologist, Family (Licence: IL 071008692) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2017-06-15 |