| NPI | 1407571334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA MENDEZ Owner 773-407-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2023-07-19 |