| NPI | 1487781688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LEE Insurance Coordinator 847-933-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180005912) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |