| NPI | 1871998567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANA LUCARELLI President 847-903-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008715) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2018-12-26 |