| NPI | 1508026865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN ECKERT Office Manager 309-688-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071003217) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |