| NPI | 1841658820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A. FISHBEIN President 847-828-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TE1100X Psychologist, Exercise & Sports (Licence: IL 071005190) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |