| NPI | 1699607259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY LAU CARINO President 630-508-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2026-05-29 |
| Last Update Date | 2026-08-20 |