| NPI | 1750882239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEAHY Clinical Neuropsychologist 312-420-9756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008275) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071.006516) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2024-04-09 |