| NPI | 1477860609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M. BURCHETT Licensed Clinical Psychologist 309-830-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 0071006988) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2011-02-07 |