| NPI | 1710206644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY LYNNE SHRAKE Clinical Director 630-984-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006762) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051.034790) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |