| NPI | 1174902555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROESLER Executive Director 630-707-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |