| NPI | 1992981864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES EVANS President 773-721-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-003202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-001022) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2013-04-24 |