| 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 |