| NPI | 1679020143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WILLIAM HARTMAN Clinical Psychologist 224-634-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071-004431) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-08-18 |