| NPI | 1780320234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOUJANYA PULLURU Owner 630-545-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 208D00000X General Practice | |
| 231H00000X Audiologist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |