| NPI | 1255492443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN TAYLOR Director, Managed Care 773-734-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003024) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |