| NPI | 1083043079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DONINGER Owner 847-421-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 6061) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2014-02-05 |