| NPI | 1083015036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSLYN K JELINEK Owner 773-517-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-009174) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |