| NPI | 1649302050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY WINGO Clinical Psychologist 847-691-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-004959) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2017-04-24 |