NPI | 1609243856 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON E LAHOOD Director Of Clinical Services 312-659-0020 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008046) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071008046) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2015-08-24 |