| NPI | 1922438332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ELLEN KNIGGE Nurse Practitioner 630-248-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209002192) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2014-03-07 |