| NPI | 1871654665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN GUERRA BURNS Clinical Psychologist 708-790-4062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006747) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-006747) |
| 103T00000X Psychologist (Licence: IL 071-6747) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-09-03 |