| NPI | 1093265043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA MICHELE GLICK Managing Owner 847-826-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149004268) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |