| NPI | 1679960207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LOUISE RAKE Principal 847-894-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016208) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-10-20 |