| NPI | 1952474082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B EVANS Clinical Psychologist President Own 630-990-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071001659) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 1533) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |