| NPI | 1659825180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA WALLACH Licenced Clinical Social Worker 630-669-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.008160) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2016-08-26 |