| NPI | 1336654219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIEGAL ELI-GERS Owner 847-868-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012451) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |