| NPI | 1861517419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BLATTNER Psychologist 630-968-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 714501) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-07-25 |