| NPI | 1982762738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JAMES NOVAK President 847-308-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003486) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-07-15 |