| NPI | 1861199937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE THERESA WEILAND Clinical Social Worker 847-220-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-01-23 |