| NPI | 1689100232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J. HAYES President 815-342-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004798) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |