| NPI | 1891229662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA GREGOIRE Owner 773-771-8759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008969) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |