| NPI | 1073681680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T KENNY Director 630-530-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180000746) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-05-31 |