| NPI | 1528074291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE E. ALTHOFF Director 815-385-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006745) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |