| NPI | 1093464984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA NORSWORTHY Owner 708-703-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2024-03-04 |