| NPI | 1851691091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICE POVOLNY President 630-415-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005235) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |