| NPI | 1619572419 |
|---|---|
| Doing Business As | PROSPER HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | GLADYS LARSEN CEO 708-465-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2025-01-23 |