| NPI | 1063882116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNAFE BATICADOS Owner 630-544-8517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: IL 041.280969) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |