| NPI | 1568867398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T BAKER Chief Psychologist 847-331-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071006239) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |