| NPI | 1033197025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN BEAUMONT Lincensed Clinical Psychologist 708-923-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL IL071005432) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2010-01-12 |