| NPI | 1821350612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE K KELLY Managing Member 847-909-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.010534) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-22 |