| NPI | 1083921571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SARAH EISENSTEIN Advanced Nurse Practitioner 773-895-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008326) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |