NPI | 1962666362 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN CHRISTINE VALESSARES President 630-881-7601 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071-006810) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006810) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2008-07-15 |