| NPI | 1710250246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. KANT Social Worker 312-217-3597 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011639) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |