| NPI | 1376496950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WILSON Owner, Pmhnp Bc 224-237-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |