| NPI | 1881982866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L CARINO Owner 630-508-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209004954) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-08-16 |