| NPI | 1316439722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA BERUMEN Nurse Practitioner / Psych 630-521-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209013778) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209013778) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2021-07-08 |