| NPI | 1649337320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L. JACOBEK Clinical Psychologist 312-726-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060-006532) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-03-09 |