| NPI | 1093821282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M REEDER President Secretary 847-932-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071004978) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-04-20 |