| NPI | 1427674076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN CINQUEGRANI-PENCE Licensed Clinical Psychologist 630-441-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-09-30 |