| NPI | 1790117208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ROACH Owner 630-210-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012062) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010254) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2014-07-07 |