| NPI | 1225210974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M. DOD President 847-480-1341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004154) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |