| NPI | 1942304258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F KAY VLELISEK President/Clinical Psychologist 847-818-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |