| NPI | 1427585181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J COE President 815-845-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149003539) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |