| NPI | 1346303054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY OKOON Psychologist 847-604-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071006294) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |