| NPI | 1558001644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAKIKA WILLIAMS Owner 708-966-4258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |