| NPI | 1629331764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN ANDRESEN Clinical Director 312-788-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |