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 |