| NPI | 1881604270 |
|---|---|
| Doing Business As | PSI |
| Entity Type | Organization |
| Authorized Contact | JOHN C BROOKE President 309-757-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 072002883) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL A36090002A) |
| 101YP2500X Counselor Professional (Licence: IL 180004596) | |
| 103TC0700X Psychologist Clinical (Licence: IL 071005773) | |
| 1041C0700X Social Worker Clinical (Licence: IL 149007376) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-06-07 |