| NPI | 1881233757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE N WICHMAN Licensed Clinical Social Worker 312-569-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2020-11-23 |