| NPI | 1083151989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OLSON Medical Director 630-369-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015238) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |