| NPI | 1346753597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECELIA S. CORNELL Member 312-550-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149008739) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |