| NPI | 1306048772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JOY SPACKEY President 630-420-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006340) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |