| NPI | 1679824577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINN BRENNAN Director 847-309-0972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-006652) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2015-09-22 |