| NPI | 1851837462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GRUNEWALD Clinical Psychologist 312-729-5376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071009029) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2019-11-07 |