| NPI | 1235265794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL D MAHONEY Partner 847-295-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003138) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2015-01-20 |