| NPI | 1114342599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ANN ELLIS Partner 312-809-0298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014373) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2022-02-09 |