| 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 |