| NPI | 1659821544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CARLSON Dean, College Of Health Professions 847-578-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009327) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |