| NPI | 1306991765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J FREY President 847-632-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060005894) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-25 |