| NPI | 1689168478 |
|---|---|
| Doing Business As | SELF |
| Entity Type | Organization |
| Authorized Contact | SUSAN RYAN-MICHALAK Counselor 773-852-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.009374) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-08-03 |