| NPI | 1699445692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE M STANGER Owner 815-474-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2023-09-22 |