| NPI | 1285496497 |
|---|---|
| Other Name | WASHINGTON PRADER WILLI |
| Entity Type | Organization |
| Authorized Contact | GREERANN LOVETTE SIMS Business Manager 847-390-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |