| NPI | 1346597259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A MANKOFF Social Worker 847-791-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014466) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-09-20 |