| NPI | 1285002287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA JANE AXNESS Owner 630-864-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011074) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |