NPI | 1043631856 |
---|---|
Entity Type | Organization |
Authorized Contact | STUART BERNSEN CEO 847-912-2411 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2013-12-20 |
Last Update Date | 2014-02-05 |