| NPI | 1841625563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENA H. STALLINGS Licensed Clinical Psychologist 773-349-2429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007989) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |