| NPI | 1801271408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE ECHEVARRIA Director 847-204-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008182) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-08-13 |