NPI | 1316218688 |
---|---|
Entity Type | Organization |
Authorized Contact | ASIF ALI KHAN President 630-774-8316 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005733) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-01-19 |