| NPI | 1801299656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA ANN KEIPPER President/Clinical Psychologist 630-217-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071008779) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |