| NPI | 1760840870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JOHNSON Owner 847-657-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071006756) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |