| NPI | 1700259819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIMENA M TORRES Clinical Psychologist 847-416-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008296) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |