| NPI | 1861790883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KOEHNE Office Manager 708-633-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.005263) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |