| NPI | 1043005317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN LATRICE MURRAY Manager 630-453-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-08-21 |