| NPI | 1871890657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PALAZZO CEO 847-515-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.007375) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2023-02-21 |