| NPI | 1306642087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIANA YOUKHANA Nurse Practitioner 847-239-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-02-22 |
| Last Update Date | 2025-02-22 |