| NPI | 1548274863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LYNN FOLEY Clinical Director 815-773-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.004322) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.004989) |
| 101YP2500X Counselor, Professional (Licence: IL 180.003022) | |
| 101YP2500X Counselor, Professional (Licence: IL 180.005943) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.012985) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.011589) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.012120) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.010888) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.010594) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.007291) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.003711) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.010490) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.000735) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036.126980) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IL 036.120303) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-02-21 |