| NPI | 1295938546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DENNIS SHELBY Sole Proprietor 312-458-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149002949) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-06-24 |