| NPI | 1518050210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCCO J DOMANICO President 630-605-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071--005136) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |