| NPI | 1497769459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA WICKLUND President 708-588-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071007043) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |