NPI | 1437676400 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNIE LEE PARR Nurse Practitioner, Owner 630-363-9368 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209000942) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2018-06-16 |