| NPI | 1659951481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANAY SAMUELSON Associate Director 312-915-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 1041S0200X Social Worker, School | |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 174H00000X Health Educator | |
| 207Q00000X Family Medicine | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2024-06-07 |