| NPI | 1700079886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH N. O'DONNELL President 847-298-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071001830) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071001830) |
| 103TR0400X Psychologist, Rehabilitation (Licence: IL 071001830) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2009-03-18 |