| NPI | 1629525985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY GENEVIEVE PIER Licensed Clinical Social Worker 847-440-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014386) |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2016-09-03 |