| NPI | 1447345111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON S DOYLE President 847-814-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005568) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |