| NPI | 1356468771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA K. HIRSCHBERG Clinical Director 847-695-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |