| NPI | 1477414662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSIN KHAN KHAN Owner/Managing Partner 815-980-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |