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