| 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 |