| NPI | 1518104306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD BLAIN President 847-791-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-002267) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |