| NPI | 1699648550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA HERNANDEZ Pmhnp 630-375-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-10-01 |