| NPI | 1669878823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTIAN HARDIE President 312-810-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2016-05-26 |