| NPI | 1821432246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN O'GRADY Owner 312-888-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-003766) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |