| NPI | 1699050435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE REINKE Executive Director 630-260-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071007671) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 071007671) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071007671) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007671) | |
| 103TC1900X Psychologist, Counseling (Licence: IL 071007671) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071007671) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: IL 071007671) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 071007671) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2022-12-27 |