| NPI | 1780125625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK COSTAKIS President 630-776-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008556) |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2017-03-11 |