| NPI | 1952849564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HUBBARD Psychologist 773-888-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149016876) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |