NPI | 1912283268 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN MANZARA Nurse Practitioner 630-935-0128 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 209009062) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209009062) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2011-11-01 |