NPI | 1780668939 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE V DYONZAK Clinical Psychologist 847-657-6007 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004588) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2008-09-26 |