| NPI | 1063735413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA D FAUSTINO President 630-267-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.006796) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2011-02-10 |