NPI | 1437663275 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI J NEWMAN Business Administrator 708-560-6653 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180002594) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2017-11-30 |