| 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 |