NPI | 1215134721 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE MCFAIL WEINGARZ President 815-356-5499 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006152) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2017-04-21 |