NPI | 1477563641 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID M. GURSKY Owner 847-488-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-004333) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004160) |
101YP2500X Counselor, Professional (Licence: IL 180-004551) | |
101YP2500X Counselor, Professional (Licence: IL 180-000394) | |
101YP2500X Counselor, Professional (Licence: IL 180-006174) | |
101YP2500X Counselor, Professional (Licence: IL 180-006200) | |
1041C0700X Social Worker, Clinical (Licence: IL 149-007397) | |
1041C0700X Social Worker, Clinical (Licence: IL 149-009744) | |
106H00000X Marriage & Family Therapist (Licence: IL 166-000559) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2019-03-29 |