| NPI | 1144118639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA MARCHELLE JONES Owner/Nurse Practitioner 708-518-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |