| NPI | 1144665118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY B. DOLIN Manager 847-910-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012817) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-12-16 |