| NPI | 1699219758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE FOX Owner 847-363-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009105) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 180004558) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |