| NPI | 1306396841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MADDOX Therapist 847-254-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001083) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |