| NPI | 1528509981 |
|---|---|
| Former Legal Business Name | UNDINE AND ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | THOMAS R UNDINE Owner 773-732-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.013059) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |