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 |