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, Psych/Mental Health | |
Enumeration Date | 2021-03-22 |
Last Update Date | 2023-08-27 |