| NPI | 1205127594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HICKEY Clinical Psychologist 630-428-3908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 71006796) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |