| NPI | 1689939613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIROSLAVA FOX Clinical Psychologist 847-984-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007502) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |