| NPI | 1578803789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP LYNN SCHORFHEIDE President 773-391-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209008734) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-06-18 |