| NPI | 1659713543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA KELLOWAY Member 630-569-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180006762) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 29530) |
| 101YP2500X Counselor, Professional (Licence: IL 178007569) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149011371) | |
| 183500000X Pharmacist (Licence: IL 0510347910) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051034790) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-08-13 |