| NPI | 1164313664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOSIN IJALE Owner 773-848-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-12 |