| NPI | 1235681974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE TUMBORELLO Therapist 630-504-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015527) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |