| NPI | 1336913516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANWALJIT SIDHU CEO 630-849-8756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-01-23 |