| NPI | 1073977013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROGERS Office Manager 312-263-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017962) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |