| NPI | 1679721880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE E. CLEMINSON HERNANDEZ President 847-673-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007070) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2020-03-03 |