| NPI | 1972620458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNN CARLSON President 708-484-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: IL 041-141346) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-005335) |
| 225200000X Physical Therapy Assistant (Licence: IL 160.001032) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |