| NPI | 1326639071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANILTTA ALEX Adult Nurse Practitioner 630-884-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |