| NPI | 1457011934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES RUTSTEIN Senior Billing Coordinator 847-441-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |