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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912267741
- **Authorized official:** MRS. SHERWONNA BARRON R.N. (OWNER)
- **Authorized official phone:** (630) 673-2788

## Contact information

- **Practice address:** 162 BERTRAM DR, SUITE I, YORKVILLE, IL 60560-6089
- **Practice address phone:** (630) 673-2788
- **Practice address fax:** (708) 344-7009
- **Mailing address:** 162 BERTRAM DR, SUITE I, YORKVILLE, IL 60560-6089
- **Mailing address phone:** (630) 673-2788
- **Mailing address fax:** (708) 344-7009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | 041.331885 | IL | Yes |
| 163WE0003X | Emergency Registered Nurse | 014.331885 | IL | — |
| 163WH0200X | Home Health Registered Nurse | 041-331885 | IL | — |
| 163WM0705X | Medical-Surgical Registered Nurse | 041.331885 | IL | — |

## Other

- **Enumeration date:** 05/27/2012
- **Last updated:** 05/27/2012
