| NPI | 1013486083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WANYANA Manager 630-303-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2024-02-01 |