| NPI | 1508233396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BRADISH Social Worker 847-757-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017396) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |