| NPI | 1508567553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A KURNAT Nurse Practitioner 708-701-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-06-09 |