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 |