| NPI | 1851455398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J DEWITT Owner 847-392-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060-006541) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2010-09-01 |