| NPI | 1619163268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ANN DILLON Owner 630-896-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004310) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2012-10-19 |