| NPI | 1407209414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON M GRUSZECZKI Owner 773-570-0596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008983) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |