| NPI | 1295263747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN MCCANN Advanced Practice Nurse 708-373-7929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209008833) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |