| NPI | 1457570251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MYKET President 630-212-2049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-09-24 |