| NPI | 1316217094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ELIZABETH MCMAHON-PIETIG President 847-323-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006543) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |