| NPI | 1104608140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LYNN HEILMAN Licensed Clinical Psychologist 630-570-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-06-22 |