NPI | 1023229986 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI BETH HAMERNIK President, Secretary 847-763-9167 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005309) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-005309) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |