| NPI | 1760854970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE CUSICK Practice Administrator 630-325-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016971) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |