| NPI | 1639291180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT ZULLO President 773-342-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.001649) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |