| NPI | 1962809087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA L SCOLAN Member 630-222-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.002298) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |