| NPI | 1306338009 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DOMINIQUE INEZ MOSELEY Registered Nurse 773-727-2052 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse | 
| Additional Taxonomies | 251B00000X Case Management | 
| 251J00000X Nursing Care | |
| Enumeration Date | 2018-05-30 | 
| Last Update Date | 2021-06-18 |