| NPI | 1821283375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIA LUN CHUNG Clinical Psychologist 773-255-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006862) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2009-06-24 |