NPI | 1518118934 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY CHARNESS Owner 312-421-5343 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006316) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2008-10-03 |