| NPI | 1598208241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA TRICE Officer 630-207-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005746) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |