| NPI | 1457217754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA D'ANGELO Owner, Manager 312-600-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 163WL0100X Registered Nurse, Lactation Consultant | |
| 163WM0102X Registered Nurse, Maternal Newborn | |
| 163WP0200X Registered Nurse, Pediatrics | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2025-12-30 |