NPI | 1710321229 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN ELENA LEE Neuropsychologist 217-877-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071004726) |
Enumeration Date | 2013-04-26 |
Last Update Date | 2013-04-26 |