NPI | 1275068876 |
---|---|
Entity Type | Organization |
Authorized Contact | BIAISHA YUTRINA WASHINGTON Advanced Nurse Practitioner 773-962-3975 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 209.015904) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2017-05-03 |