| NPI | 1538658562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN LYN ROEKLE Owner 312-217-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006852) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |