NPI | 1992298293 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA ANNE DUFFY Director, Officer 312-965-0499 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-169074) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.115000) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2018-06-11 |