| NPI | 1891131082 |
|---|---|
| Doing Business As | ANTICOAGULATION CLINIC |
| Entity Type | Organization |
| Authorized Contact | MELVONNE JONES Credentialing Manager 630-914-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209008175) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209006950) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |