| NPI | 1740158179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAKIF AHMED Psychiatry Nurse Practitioner 224-789-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |