| NPI | 1952540684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE FOSTER Clinical Director 847-409-2841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 71 2401) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |