| NPI | 1023460763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS ANDREW BOOTH President 847-381-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 060.011815) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |