| NPI | 1588370464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HIGGINS President 708-726-6472 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 133N00000X Nutritionist | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |