| NPI | 1952451577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN R SMITH President 847-543-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005062) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |