NPI | 1306888003 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY CRISENBERY SCOTT CRISENBERY President 847-686-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003790) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-005718) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2025-09-11 |