NPI | 1447555438 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ROBERT BUCHHOLZ President 847-228-6440 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-001756) |
Enumeration Date | 2011-01-21 |
Last Update Date | 2011-01-21 |