| NPI | 1548501570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE CONRON Licensed Clinical Psychologist/Owne 773-859-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004750) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071004750) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071004570) | |
| 103TF0000X Psychologist, Family (Licence: IL 071004750) | |
| 103TH0004X Psychologist, Health (Licence: IL 071004750) | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |