| NPI | 1871340349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE J BATOR CEO/Owner 224-578-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-12 |