NPI | 1255793782 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA CONWAY President 630-292-0029 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008483) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2016-03-23 |