| NPI | 1497942015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JAFFE Owner 847-830-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209009692) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: IL 038008595) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2013-01-31 |