| NPI | 1861767808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WEINBERG President 773-935-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 0714149) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |