| NPI | 1568836070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L LEE Nurse Practitioner 847-259-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-013470) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |