| NPI | 1821746421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTHY CIPUS PIERRE Family Nurse Practitioner 847-852-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2025-08-15 |