| NPI | 1457891707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA INCOPERO President 630-849-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018682) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |