NPI | 1255220224 |
---|---|
Entity Type | Organization |
Authorized Contact | MELTEM RANDLE Owner / Nurse Practitioner 708-427-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
Additional Taxonomies | 251E00000X Home Health |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-07-02 |