| NPI | 1760690978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JAKSA President 312-372-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004318) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-08-22 |