NPI | 1194984641 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN LEE BUSICK President 217-337-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180000734) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2008-06-09 |