| NPI | 1174867048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M JACOBOWSKI Clinical Social Worker/Manager 630-257-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010821) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |