| NPI | 1548697394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON RESNICK Clinical Psychologist 773-599-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008654) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |