| NPI | 1013409366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI KLINGER President 847-875-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007124) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149003065) |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2018-06-02 |