| NPI | 1992818231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WISTED President & CEO 847-894-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MN R121223-7) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2025-06-04 |