| NPI | 1093582892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDOWU OLUGBENGA OSHOKOYA Executive Manager 312-878-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-08-26 |