| NPI | 1437562501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA A COSTAKIS Manager 847-644-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009161) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |