| NPI | 1003932039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD NEVIN President 847-205-5698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005902) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-10-09 |