| NPI | 1093358954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P SPRENKLE Executive Director 630-755-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2022-06-03 |