| NPI | 1548712797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY LYNN Social Worker 847-565-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016923) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |