| NPI | 1124362736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S LONOSKY Sole Proprietor 847-362-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006522) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |