| NPI | 1275360851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADETOMIWA ADETILEWA Managing Director 708-909-3328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |