| NPI | 1508239559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN SCHWAB FERGUSON Owner 773-289-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.010520) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |