| NPI | 1710191945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN D. ROSEN President 847-763-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071-004526) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-004526) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-004526) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 071-004526) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |