| NPI | 1386818011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KEK Administrator 847-251-1046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 036-108993) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2014-12-30 |