| NPI | 1568630176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY EILEEN GLYNOS Clinical Psychologist 312-343-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007412) |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2008-02-16 |