| NPI | 1891854253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE L VAISVILAS-TAYLOR President 815-741-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-001761) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |