| NPI | 1740692532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART BERNSEN CEO 630-560-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-07-23 |