NPI | 1851486716 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA SIZEMORE President 847-433-5596 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060004376(71-002125)) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2010-11-29 |