| NPI | 1982469359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GABRIELE FRICK Psychiatric Nurse Practitioner 847-961-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |