| 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 |