| NPI | 1093795106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN E. NELSON President 847-204-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004944) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2009-12-07 |