NPI | 1275825796 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL SCHOENEMAN-PARKER Owner 224-639-6909 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.006224) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149006137) |
1041C0700X Social Worker, Clinical (Licence: IL 149012341) | |
1041C0700X Social Worker, Clinical (Licence: IL 149002414) | |
Enumeration Date | 2011-05-03 |
Last Update Date | 2011-05-03 |