| NPI | 1922019520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M KRUGEL Senior VP/Chief Financial Officer 773-907-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 0002717) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |