| NPI | 1114181971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LEE COLEMAN Psychologist 630-907-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006641) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |