| NPI | 1851798706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN CHANTELL COLLINS Owner 312-262-2739 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 213E00000X Podiatrist |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2022-07-18 |