| NPI | 1215519038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL WHITE Co Owner/Family Nurse Practitioner 708-933-6346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-11-16 |