| NPI | 1710393657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTINE BRUNS President 847-410-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071002733) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |