| NPI | 1558147876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FEY Nurse Practitioner 773-332-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-03-13 |