| NPI | 1609851740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A MARKIN Lic Clinical Psychologist 708-448-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071001225) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |