| NPI | 1457645673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. SANDERS Therapist, Private Practice 773-549-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149002148) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |