| NPI | 1053448662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MELON President 630-920-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060007829) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-10-18 |