NPI | 1083010383 |
---|---|
Entity Type | Organization |
Authorized Contact | JAIMEE ARROYO Family Nurse Practitioner 815-440-0654 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 19232) |
Enumeration Date | 2014-11-13 |
Last Update Date | 2014-11-13 |