| NPI | 1902669807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO ARROJO Member 312-404-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363A00000X Physician Assistant | |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |