| NPI | 1053714790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GRIMARD WILSON President 312-925-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180001245) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |