| NPI | 1154187433 |
|---|---|
| Doing Business As | INTEGRATIVE PRIMARY CARE AND MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUZANNE CHAN Manager 312-975-8268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-09-06 |