| NPI | 1114774296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA VOWAL Nurse Practitioner 773-405-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 364SA2200X Clinical Nurse Specialist Adult Health | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-08-26 |