NPI | 1730433384 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA D FAUSTINO President 630-267-2627 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.006796) |
Enumeration Date | 2012-11-05 |
Last Update Date | 2012-11-05 |