| NPI | 1134599129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA RUSSO Executive Director 815-758-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: IL U129601967) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2024-07-19 |