| NPI | 1902590375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON GUZMAN MONELLI Nurse Practitioner 847-254-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-08-29 |