| NPI | 1649778994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GRYZBEK Clinical Psychologist 630-474-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071.009076) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 071.009076) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2023-08-31 |