| NPI | 1043478621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM GREGORY CRANE Manager/Licensed Clinical Psycholog 847-577-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071-006159) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |