NPI | 1598296568 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA VOWAL Nurse Practitoner 773-405-8076 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-011276) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-04-24 |