| NPI | 1821114273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W ELGHAMMER CEO 217-431-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004177) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |