| NPI | 1669215141 |
|---|---|
| Doing Business As | ICONIC HEALTH ACADEMY |
| Entity Type | Organization |
| Authorized Contact | LAKHILA TELLIS Founder/President 312-468-8604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WW0000X Registered Nurse, Wound Care | |
| 251B00000X Case Management | |
| 364SC1501X Clinical Nurse Specialist, Community Health/Public Health | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |