| NPI | 1740410976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA L. BERGFELD Clinical Social Worker 708-373-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.009713) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |