| NPI | 1609064757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E MAYER President 312-917-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-002554) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-04-22 |