| NPI | 1811065121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD M. STEIN President 630-571-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-001939) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071-001939) |
| 103TH0100X Psychologist, Health Service (Licence: IL 071-001939) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-11-13 |