| NPI | 1295020568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A SPENCER Owner 630-409-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006284) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-30 |