NPI | 1245773910 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY ANDREW PROCEK Marriage And Family Therapist 630-383-7050 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000917) |
Enumeration Date | 2016-11-29 |
Last Update Date | 2016-11-29 |