| NPI | 1962632463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JENNETTE BEHRENDS President 847-754-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007337) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2013-09-06 |