| NPI | 1740802214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WANYANA Nurse Practitioner 630-364-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-06-06 |