| NPI | 1891186383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE NICOLOFF Office Manager 847-272-3684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009135) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-11-24 |