| NPI | 1235234733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE C DERENGOWSKI Office Manager 630-920-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006536) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |