| NPI | 1003257668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KLAUD MILLER Owner 773-743-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: IL 041327378) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |