| NPI | 1689189078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BOZEDAY President 847-251-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149003005) |
| Additional Taxonomies | 251S00000X (Licence: IL 149003005) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |