| NPI | 1790946630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL LEATHERMAN Partner 630-768-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010693) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007260) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |