| NPI | 1366786113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NIKKILA Clinical Social Worker 773-343-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012428) |
| Enumeration Date | 2012-11-18 |
| Last Update Date | 2022-02-08 |