| NPI | 1386185676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY FORREST Registered Nurse 773-349-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041319331) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |