| NPI | 1629947239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN CONLON Psychologist 312-268-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103T00000X Psychologist | |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |