| NPI | 1598035305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CANTZ Executive Director 773-234-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 073000066) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 073000066) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 073000066) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 073000066) | |
| 103TC1900X Psychologist, Counseling (Licence: IL 073000066) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 073000066) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: IL 073000066) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 073000066) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |