| NPI | 1932648136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLIE WILLET KRUCHKO President 630-778-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071005578) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |