NPI | 1033301189 |
---|---|
Doing Business As | TOM LELIO PC |
Entity Type | Organization |
Authorized Contact | THOMAS FRANCIS LELIO Owner 815-485-2163 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036079791) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149009557) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2007-08-13 |