| NPI | 1548149933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA T KLEIN Sole Member 815-246-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-09-19 |