| NPI | 1295007318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RUECKHEIM Lcpc 708-364-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010486) |
| Enumeration Date | 2012-02-05 |
| Last Update Date | 2012-02-06 |