NPI | 1205295888 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPER R MERSINGER Owner 630-442-0295 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2016-02-11 |
Last Update Date | 2016-02-11 |