NPI | 1760894554 |
---|---|
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 |