| NPI | 1306045737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN DITCHEK President/Clinical Psychologist 847-390-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005203) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2015-03-19 |