NPI | 1114774296 |
---|---|
Former Legal Business Name | ENDEAVOR CLINICAL HEALTHCARE SERVICES |
Entity Type | Organization |
Authorized Contact | PATRICIA VOWAL Nurse Practitioner 773-405-8076 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |