| NPI | 1598579013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MASICLAT Manager 630-327-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 363L00000X Nurse Practitioner | |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |