| NPI | 1700366903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA GILLETT Therapist 847-528-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016464) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |