| NPI | 1952504664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE M. SIMON President 847-328-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071003423) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2013-03-05 |