| NPI | 1306888003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CRISENBERY SCOTT CRISENBERY President 847-686-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005718) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180003790) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |