| NPI | 1164479945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRYDON Partner 847-913-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149004304) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-03-02 |