| NPI | 1942737366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JUNKINS Therapist 847-563-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149019361) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-07-21 |