| NPI | 1134521453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA HERMAN BAYNE Licensed Clinical Social Worker 312-848-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015422) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2020-09-16 |