NPI | 1053772004 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE SHOWALTER President 847-716-0288 |
Organization Subpart ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MS 902024) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-03-17 |