| NPI | 1528178308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MARTIN GRONER Owner 847-604-4069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004322) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-08-23 |