| NPI | 1982884052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ELBAUM Clinical Social Worker 847-948-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149000376) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |