| NPI | 1295941573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA M MIKAITIS President 312-404-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209005514) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-03-29 |