| NPI | 1497842983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MITCHELL Executive Director 630-357-2456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-004701) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-06-21 |