| NPI | 1528325438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DC MCAULIFFE Assistant 708-712-6183 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 017.008341) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2018-09-27 |