| NPI | 1831511690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BRIGHT Office Administrator 847-770-1241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: IL 36117225) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-02-26 |