| NPI | 1538460670 |
|---|---|
| Other Name | QUALITY LIFE PROVIDERS, LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES PAUL HARPER Chief Administrator 847-980-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209002055) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209002055) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2011-06-07 |