| NPI | 1033190715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J. ANDRISE Owner 630-850-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 071003223) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071003223) |
| 103T00000X Psychologist | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-11-15 |