| NPI | 1639258056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETA R. EDWARDS President 847-604-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004760) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2008-07-22 |