| NPI | 1619434420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMEM T. OBOT Executive Nurse Officer 773-299-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-10-16 |