| NPI | 1073400701 |
|---|---|
| Doing Business As | PERSONAL PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MEGAN JOHNSON Owner 815-494-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-07-16 |