| NPI | 1801079736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE M UNUMB Clinical Psychologist 847-272-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004116) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |