| NPI | 1477840304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R DEC Psychologist 630-470-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL IL 71-3329) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2026-02-09 |