| NPI | 1083749451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M GELBORT Owner 815-230-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 07100400) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-02-14 |