NPI | 1760516447 |
---|---|
Entity Type | Organization |
Authorized Contact | KASIA MALINGER Clinical Service Coordinator 773-286-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060001395) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |