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 |