| NPI | 1992836282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SONNENBERG President 773-989-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005109) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |