| NPI | 1659553444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY P KURTH Office Manager 309-686-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071004929) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2013-05-20 |