| NPI | 1962813550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R SCOTT FURDA President 773-631-8329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004843) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |