NPI | 1700247848 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER GIARRATANA Member 312-718-4434 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209005868) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-03-17 |