| NPI | 1588998678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES NICHOLAS PISTORIO Psychologist 847-924-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004038) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |