| NPI | 1275914947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNNE SIEGMAN Licensed Clinical Therapist 312-259-5844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.013271) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |