| NPI | 1609907625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN STRESS AQUINO President 773-706-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071007066) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |