| NPI | 1619166907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD OWEN AHLBERG President 630-385-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011239) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |