| NPI | 1568766053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY STEWART Therapist 630-717-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005784) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180003135) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071005925) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149011600) | |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |