| NPI | 1770631970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTH AMUNDSON President 708-930-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005077) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |