NPI | 1932116035 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DAVID JOCHEM Psychologist/Sole Officer 847-680-0755 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071004067) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2025-05-21 |