NPI | 1720170772 |
---|---|
Other Name | LLC |
Entity Type | Organization |
Authorized Contact | JEFFREY JOSEPH SHORE President 312-782-3888 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149001234) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-08-22 |