| NPI | 1720258510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS GIRDAUKAS President 847-615-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004103) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |