| NPI | 1417022807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY KANE President 630-715-6235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006757) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |