| NPI | 1639222920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DEON GILLHAM President 312-498-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006534) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |