| NPI | 1497087175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICCOLE N RANZ Owner 815-988-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.003861) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2022-01-20 |