| NPI | 1659679207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY KIM SNOW Owner 708-837-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 18000692) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IL 18000692) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |