| NPI | 1104708809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT S SCHNEIDER Owner 815-382-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |