| NPI | 1194296533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA THOMPSON- JONES Fnp Bc 708-991-2945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2022-12-07 |