| NPI | 1861691131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA CAROL WRIGHT Owner 847-299-3628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060-006117) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2017-10-16 |