| NPI | 1285812834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A BRUCKER President 815-609-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007613) |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071-006519) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071-006097) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071-006914) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071-007551) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071-006216) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.001938) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.014868) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-100519) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.085290) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.107430) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2021-06-17 |