NPI | 1295809630 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE BONESTEEL Director 630-969-3233 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071006163) |
Enumeration Date | 2006-11-18 |
Last Update Date | 2014-11-26 |