| NPI | 1396297842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BETH RAPHAEL Owner 312-953-1471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149008215) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |