| NPI | 1093472805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER OSBORNE Psychiatric Nurse Practitioner 312-868-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |