| NPI | 1730548629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN S. BLEHART Clinical Psychologist 312-593-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009194) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |