| NPI | 1124355664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LANDRE Owner 847-219-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071004694) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |