| NPI | 1366648636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA SABHARWAL President 309-303-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209002447) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 18005065) |
| 101YP2500X Counselor Professional (Licence: IL 18005065) | |
| 207R00000X Internal Medicine (Licence: IL 036096817) | |
| 363L00000X Nurse Practitioner (Licence: IL 209005204) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2015-06-12 |