| NPI | 1629392808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL P. COX President 847-309-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006939) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071006939) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071006939) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071006939) | |
| 103TF0000X Psychologist, Family (Licence: IL 071006939) | |
| 103TH0004X Psychologist, Health (Licence: IL 071006939) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 071006939) | |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |