| NPI | 1598308702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARAN STAGGERS President 312-307-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |