| NPI | 1649306176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. MARK MCKEE Principal 630-245-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006919) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071005423) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071006635) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007188) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071006930) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-30 |