| NPI | 1457704603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK GERARD CZUBA Owner 708-209-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.004472) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: IL 071008544) |
| 251E00000X Home Health (Licence: IL 056003247) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-12-09 |