NPI | 1982112389 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE HEYLAND Owner 847-257-2497 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209010790) |
Enumeration Date | 2018-01-19 |
Last Update Date | 2018-01-19 |