| NPI | 1447963491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM REINHARDT Clinic Owner 847-571-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-02-07 |