| NPI | 1578811873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JAFFE President 847-830-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009692) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-09-04 |