| 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 |