| NPI | 1801398789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK RIVAS Owner 630-686-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2022-02-28 |