| NPI | 1144696261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE ZIMMERMAN Clinical Director 815-271-5608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071-009100) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2016-10-13 |