| NPI | 1619709656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA C KRISHNAN Psychiatric Nurse Practitioner 312-736-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |