| NPI | 1497188270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HOPKINS Cqir Medicaid Coordinator 847-245-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: IL 37069157003) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2018-01-31 |