| NPI | 1922968478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA R JACKSON Director 630-670-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |