| NPI | 1619390366 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JA'NET MACHELLE SEWARD Clinical Psychologist 630-335-7448 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007599) | 
| Enumeration Date | 2014-01-31 | 
| Last Update Date | 2014-01-31 |