| NPI | 1497143523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL SUTHERLAND Practice Manager 847-459-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041369841) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |