| NPI | 1871903302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART BERNSEN CEO 630-560-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |