| NPI | 1760762389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P. JOHNSON Clinical Psychologist 847-508-2926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005462) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |