| NPI | 1699549667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET CHANDLER Owner 773-263-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-12-20 |