| NPI | 1811017932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MARY DOHENY Clinical Psychologist 312-409-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.005835) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |