| NPI | 1962596023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A. HOLMES President 847-296-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071004106) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-08-16 |