| NPI | 1831131515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIA WEGIEREK-SKORUPA Clinical Psychologist 708-710-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2025-02-23 |