| NPI | 1992075014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD MCCALLUM Owner 630-803-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.004781) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |