| NPI | 1386673440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M YEE Nurse Practitioner 773-880-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 209-002726) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |