| NPI | 1881969541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE B. NATVIG Licensed Clinical Psychologist 708-691-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004997) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |