| NPI | 1528460235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DECKER Clinical Psychologist 847-975-5598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071007478) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-07-19 |