| NPI | 1659039857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA FUNES Authorized Official 847-749-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2022-03-08 |