| NPI | 1467643791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS RANDALL BOWLING President 630-510-3248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071005436) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |