NPI | 1619295870 |
---|---|
Entity Type | Organization |
Authorized Contact | NEVILA MCDOUGAL Billing Coordinator 847-274-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014137) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2010-05-12 |