| NPI | 1811404643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BLACKMAN Agancy Manager 773-563-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: IL 3001330) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |