NPI | 1093775363 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA DIONISIO-BUNIAO Practice Manager 847-299-7888 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149001485) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: IL 036096130) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2023-09-06 |