| NPI | 1497266894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BENEKOHAL Authorized Official 217-649-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL SW13550) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |