| NPI | 1689797276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI R GRIFO Director 773-907-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006558) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |