NPI | 1417321274 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL SCHOENEMAN-PARKER President 224-639-6909 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071.006224) |
Enumeration Date | 2015-11-17 |
Last Update Date | 2015-11-17 |