| NPI | 1861869646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL GORDON President 847-668-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.002067) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |