| NPI | 1508306895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FAZIO Owner 708-899-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007381) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |