| NPI | 1518122142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WILLIAM HARTMAN Clinical Psychologist 847-310-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 071-004431) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |