| NPI | 1669729794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN JOEL KIMMEL Clinical Psychologist 312-344-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008204) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |