| NPI | 1780062364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIN J GLAZER Practice Manager 847-436-5953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017307) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |