NPI | 1407987837 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL G KELLEY President 630-904-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060006702) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2021-03-03 |