| NPI | 1194149898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN HAGGARD President 224-242-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.010863) |
| Enumeration Date | 2014-02-15 |
| Last Update Date | 2014-02-15 |