| NPI | 1245417302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA K. HIRSCHBERG Clinical Director 847-612-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149005097) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178003565) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 22550) | |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |