| NPI | 1366980252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN BOUNDS President 708-334-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209005570) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |