| NPI | 1073231890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIODUN J ATOMORI Nurse Practitioner 773-879-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-02-20 |