| NPI | 1902964695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L NELSON Licensed Clinical Psychologist 630-247-5597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005376) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |