| NPI | 1194185496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE GROTHEER Clinical Social Worker 847-471-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149001117) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-03-17 |