| NPI | 1477840304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R DEC Clinical Psychologist 630-752-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL IL 71-3329) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |