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 |