| NPI | 1144093006 |
|---|---|
| Doing Business As | UI HEALTH WELLNESS CLINIC AT ALTUS ACADEMY |
| Entity Type | Organization |
| Authorized Contact | CAROLYN DICKENS Interim Associate Dean 312-413-8850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 208000000X Pediatrics | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |