| NPI | 1356946008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHAD KHAN Executive Director 630-708-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |