| NPI | 1104834613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA J SPURNY Director Of Out Patient Benefits 630-653-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 060 0045551) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 060 004551) |
| 103TC1900X Psychologist, Counseling (Licence: IL 060 004551) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 060 004551) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 060 004551) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |