| NPI | 1912917725 |
|---|---|
| Doing Business As | KRIS CISCO |
| Entity Type | Organization |
| Authorized Contact | KRIS CISCO Owner 815-741-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009815) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |