| NPI | 1609927045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LEGACKI TOMPKINS Licensed Clinical Psychologist 630-717-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 71006304) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-12-07 |