| NPI | 1609675818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GROTE Owner 708-514-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |