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 |