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 |