| NPI | 1386220184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SANTOS Managing Partner 630-329-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2023-08-27 |