NPI | 1407071640 |
---|---|
Entity Type | Organization |
Authorized Contact | NADA MARIE BRZOVICH Director 847-827-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010861) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149002026) |
Enumeration Date | 2007-04-14 |
Last Update Date | 2020-08-22 |