| NPI | 1184955346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA SABO Clinical Psychologist 630-774-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006982) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 23844) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |