| NPI | 1104235415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JENSEN COO/President 847-635-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015740) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |