| NPI | 1790903102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RORY GILBERT Social Worker 847-272-7089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149001478) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-02-17 |