| NPI | 1770752297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE L VINER Exec. Medical Director 847-869-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 042.619076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.009652) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2017-08-01 |