NPI | 1326850330 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD MCCALLUM Clinical Psychologist 630-983-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103T00000X Psychologist |
103TB0200X Psychologist, Cognitive & Behavioral | |
Enumeration Date | 2025-01-25 |
Last Update Date | 2025-01-25 |