| NPI | 1215182548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE CONKEY THORNTON Licensed Clinical Psychologist 847-559-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |