NPI | 1639233190 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER P HATCHER Practice Director 630-851-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060007618) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2020-08-22 |