NPI | 1124346168 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE L. GAYLE President 847-363-5088 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007587) |
Enumeration Date | 2010-05-15 |
Last Update Date | 2010-05-15 |