| NPI | 1679602809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE CHODZKO Clinical Psychologist 847-433-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004654) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-12-07 |