| NPI | 1346427481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZABETH A. KOLLMORGEN Co Owner 847-480-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005260) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2022-09-15 |