| NPI | 1851250922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE TAN Owner 312-728-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2026-01-15 |
| Last Update Date | 2026-04-30 |