| NPI | 1497067292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY H. MACDONALD Owner 630-879-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005595) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-11-30 |