| NPI | 1508235540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLA WERTHEIMER President 815-243-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005699) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |