| NPI | 1700251519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY O'KOON Director 847-729-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071006294) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2024-02-09 |