| NPI | 1972616514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GIAKAS President 815-395-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 036083961) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |