| NPI | 1386452019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JAMES REILLY Practice Coordinator 630-621-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2025-05-22 |