| NPI | 1780955815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S COCHRAN Clinical Psychologist 847-494-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-004558) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: IL 071-005305) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149-006093) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-06-25 |