| NPI | 1255795035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HAMMOND CEO 312-286-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013119) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IL 209013119) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |