| 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 |