| NPI | 1396503215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO ARROJO Member 312-404-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207Q00000X Family Medicine | |
| 225100000X Physical Therapist | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |