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 |