| NPI | 1942690672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JO NELSON Nurse Practitoner 847-471-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 209012197) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |