NPI | 1275692196 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA M KLCO Clinical Psychologist 630-546-6803 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006135) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 71007031) |
1041C0700X Social Worker, Clinical (Licence: IL 149010619) | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2008-06-24 |