| NPI | 1558586842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN MICHIELS Secretary 708-386-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149001893) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |