NPI | 1700974458 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT J ZAGAR Clinical Psychologist 312-266-3411 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071003900) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2017-10-26 |