| NPI | 1790227742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH L MCMAHON Manager/Clinician 312-404-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014463) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |