| NPI | 1760720585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOSEPH MADONIA Proprietor 847-471-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012585) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |