| NPI | 1295903821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C. TODD President 847-475-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003520) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007717) |
| 103T00000X Psychologist (Licence: IL 071003414) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 166000841) | |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2011-08-17 |