| NPI | 1386059996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCKER Manager Representative 630-728-4026 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |