| NPI | 1598084154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY MARVIN PORZEMSKY President 773-262-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071001197) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-06-24 |