NPI | 1962146571 |
---|---|
Doing Business As | HOMETOWN NP |
Entity Type | Organization |
Authorized Contact | CHIME AJIERE CEO 708-847-8688 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-04-21 |
Last Update Date | 2025-01-27 |