| NPI | 1619335700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBETH SUTKOWSKI Chief Medical Officer/Principal 630-832-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2024-09-20 |