| NPI | 1912332776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALCOCK Therapist 773-469-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 180008478) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |