| NPI | 1508685181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ELLIS Ap RN Dnp Pmhnp Bc 847-600-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-06-11 |