| NPI | 1881018984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN MESSER Medical Director 312-726-4011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-11-18 |