| NPI | 1740624840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SCHULIEN Clinician 312-498-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149013255) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.011865) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |