| NPI | 1619480415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAWRENCE JAUCH Owner 773-295-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008827) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2024-10-17 |