| NPI | 1013118413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN R. JAISINGH President & Chief Executive Officer 312-320-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209004600) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-03-27 |