NPI | 1922276377 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISSA VIRRUSO Owner/President 847-769-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005949) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2009-01-05 |