| NPI | 1821326117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M DUGO President 847-635-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-001745) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-30 |