| NPI | 1548319775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R LILIE Clinical Psychologist/Director 847-446-4617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071-004395) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-11-06 |