| NPI | 1518082502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R WYMA Owner 630-260-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 071007924) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180004554) |
| 101YP2500X Counselor, Professional (Licence: IL 180002875) | |
| 101YP2500X Counselor, Professional (Licence: IL 180004799) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071003388) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071005180) | |
| 104100000X Social Worker (Licence: IL 149000008) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149006444) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149003718) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 166000545) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036063557) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036089544) | |
| 101Y00000X Counselor (Licence: IL 149014503) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036124166) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036128880) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-03-14 |