| NPI | 1356449383 |
|---|---|
| Doing Business As | ILLINOIS PROFESSIONALS HEALTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | CAROLE EILEEN HOFFMAN Senior Case Manager 847-795-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 1916) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149000781) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |