| NPI | 1942358338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA GRIFFIN Medical Biller 773-261-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 036117204) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-04-20 |